Non pharmacological treatment

Telerehabilitation for persons with multiple sclerosis

Abstract Background Telerehabilitation, an emerging method, extends rehabilitative care beyond the hospital, and facilitates multifaceted, often psychotherapeutic approaches to modern management of patients using telecommunication technology at home or in the community. Although a wide range of telerehabilitation interventions are trialed in persons with multiple sclerosis (pwMS), evidence for their effectiveness is unclear. Objectives To […]

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Information provision for people with multiple sclerosis

Abstract Background People with multiple sclerosis (MS) are confronted with a number of important uncertainties concerning many aspects of the disease. Among others, these include diagnosis, prognosis, disease course, disease-modifying therapies, symptomatic therapies and non-pharmacological interventions. It has been shown that people with MS demand adequate information to be able to actively participate in medical […]

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Neuropsychological rehabilitation for multiple sclerosis

Abstract Background This is an update of the Cochrane review ‘Neuropsychological rehabilitation for multiple sclerosis’ (first published in The Cochrane Library2011, Issue 11). Cognitive deficits are a common manifestation of multiple sclerosis (MS) and have a significant effect on the patient’s quality of life. Alleviation of the harmful effects caused by these deficits should be […]

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Non pharmacological interventions for spasticity in multiple sclerosis

Abstract Background Spasticity is commonly experienced by people with multiple sclerosis (MS), and it contributes to overall disability in this population. A wide range of non pharmacological interventions are used in isolation or with pharmacological agents to treat spasticity in MS. Evidence for their effectiveness is yet to be determined. Objectives To assess the effectiveness […]

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Effectiveness of vocational rehabilitation intervention on the return to work and employment of persons with multiple sclerosis.

Abstract Background Multiple sclerosis is a neurological disease that frequently affects adults of working age, resulting in a range of physical, cognitive and psychosocial deficits that impact on workforce participation. Although, the literature supports vocational rehabilitation (VR) approaches in persons with multiple sclerosis (pwMS), the evidence for its effectiveness is yet to be established. Objectives […]

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Multidisciplinary rehabilitation for adults with multiple sclerosis

Abstract Background Multidisciplinary (MD) rehabilitation is an important component of symptomatic and supportive treatment for Multiple Sclerosis (MS), but evidence base for its effectiveness is yet to be established. Objectives To assess the effectiveness of organized MD rehabilitation in adults with MS. To explore rehabilitation approaches that are effective in different settings and the outcomes […]

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Psychological interventions for multiple sclerosis

Abstract Background The unpredictable, variable nature of Multiple Sclerosis (MS), and the possibility of increasing disability, means that a diagnosis can have substantial psychological consequences. Objectives To assess the effectiveness of psychological interventions for people with MS. Search methods We searched the Cochrane MS Group Specialised Register (December 2004), Cochrane Central Register of Controlled Trials […]

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Exercise therapy for multiple sclerosis

Abstract Background No intervention has proven effective in modifying long-term disease prognosis in Multiple Sclerosis (MS) but exercise therapy is considered to be an important part of symptomatic and supportive treatment for these patients. Objectives To assess the effectiveness of exercise therapy for patients with MS in terms of activities of daily living and health-related […]

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Bladder training for urinary incontinence in adults

Abstract Background Urinary incontinence is a common and distressing problem. Bladder training aims to increase the interval between voids and is widely used for the treatment of urinary incontinence. Objectives To assess the effects of bladder training for the treatment of urinary incontinence. Search methods We searched the Cochrane Incontinence Group Specialised Trials Register (searched […]

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Hyperbaric oxygen therapy for multiple sclerosis

Abstract Background Multiple Sclerosis (MS) is a chronic, recurrent and progressive illness with no cure. On the basis of speculative pathophysiology, it has been suggested that Hyperbaric Oxygen Therapy (HBOT) may slow or reverse the progress of the disease. Objectives The object of this review was to evaluate the efficacy and safety of HBOT in […]

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